Paul S Etzell
Hematology & Oncology
712 South Cascade Street
Fergus Falls
, Minnesota 56537-2813
Paul S Etzell
Hematology & Oncology
712 South Cascade Street
Fergus Falls
, Minnesota 56537-2813
(218) 736-8757
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Paul S Etzell
- 712 South Cascade Street
- Fergus Falls, MN
- Zip : 56537-2813
- Fax : (218) 736-8757
- Phone : (218) 736-8000
Second Address
- Paul S Etzell
- 712 South Cascade Street
- Fergus Falls, MN
- Zip : 56537-2813
- Fax : (218) 736-8757
- Phone : (218) 736-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | 17327 | MN |
National Provider Identifier
| NPI | 1063422343 |
|---|---|
| Provider Name | Paul S Etzell |
| First Address | Fergus Falls, MN 56537-2813 |
| Second Address | Fergus Falls, MN 56537-2813 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2006 |
| Last Update Date | 09/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0896037 | PREFERRED ONE NUMBER (01) | MN |
| 11Q47ET | BCBS NUMBER (01) | MN |
| 12234 | (05) | ND |
| 123436 | U-CARE NUMBER (01) | MN |
| 129768600 | (05) | MN |
| 36-00025 | MEDICA NUMBER (01) | MN |
| 41-0917444 | ONE HEALTH PLAN (01) | MN |
| 41091744413 | (05) | NE |
| D28584 | (02) | |
| D28584 | (02) | MN |
| HP10403 | HEALTHPARTNERS NUMBER (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.